Provider Demographics
NPI:1972590875
Name:TROLLOPE, G. BRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:G. BRIAN
Middle Name:
Last Name:TROLLOPE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12821 N CAVE CREEK RD
Mailing Address - Street 2:SUITE #101
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-5862
Mailing Address - Country:US
Mailing Address - Phone:602-493-7420
Mailing Address - Fax:602-493-2246
Practice Address - Street 1:12821 N CAVE CREEK RD
Practice Address - Street 2:SUITE #101
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-5862
Practice Address - Country:US
Practice Address - Phone:602-493-7420
Practice Address - Fax:602-493-2246
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4238111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0230990OtherBLUECROSSBLUESHIELD